Purdy Medical Corp.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

PURDY MEDICAL CORP.

Practice address

171 Highland Ave
Short Hills, NJ 07078-1945

Phone

(267) 475-5680

NPI assigned

Jul 30, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ruby MehtaNPI 1063813897

Title

Clinical Operations Lead

Phone

(267) 475-5680

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ruby Mehta, LCSW

  • Clinical Social Worker
  • Short Hills, NJ
  • NPI 1063813897
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1596067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629763200000",
    "number": "1407465909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 NASSAU ST # 60554",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100383703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 HIGHLAND AVE",
            "city": "SHORT HILLS",
            "state": "NJ",
            "postal_code": "070781945",
            "telephone_number": "267-475-5680"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "291 Broadway",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100071814",
            "country_code": "US",
            "telephone_number": "267-475-5680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PURDY MEDICAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-30",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A",
        "authorized_official_last_name": "MEHTA",
        "authorized_official_first_name": "RUBY",
        "authorized_official_title_or_position": "CLINICAL OPERATIONS LEAD",
        "authorized_official_telephone_number": "267-475-5680"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Short Hills, NJ
• Providers in Short Hills, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.